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Kelly's Life Center
Mental Illness Community Based Residential Treatment Facility in Ellenwood, Georgia
NPI 1144521428

Kelly's Life Center is a Mental Illness Community Based Residential Treatment Facility based in Decatur, GA. Kelly's Life Center practices in Ellenwood, GA. The NPI Number for Kelly's Life Center is 1144521428 and holds a License No. 031012958 (Georgia).

The current practice location address for Kelly's Life Center is 3895 Tolliver Hills Dr, Ellenwood, GA and can be reached out via phone at 404-228-7985 and via fax at 404-963-7812.

Location: 3895 Tolliver Hills Dr, Ellenwood, GA, 30032-4613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144521428
Provider Name
Kelly's Life Center
Credential
Provider Entity Type
Organization
Address
3895 Tolliver Hills Dr, Ellenwood, GA, 30032-4613
Phone Number
404-228-7985
Fax Number
404-963-7812
Provider Enumeration Date
11/03/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3895 Tolliver Hills Dr
City
Ellenwood
State
Georgia
Zip
30294-1209
Phone Number
404-228-7985
Fax Number
404-963-7812
person
Provider Business Mailing Address Details
Address
3895 Tolliver Hills Dr
City
Ellenwood
State
Georgia
Zip
30294-1209
Phone Number
404-228-7985
Fax Number
404-963-7812
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
031012958 (Georgia)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
031012958 (Georgia)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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